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COVID-19 isn't the only risk this holiday season. Experts warn that the holidays bring a lot of hidden dangers for children, especially with everyone spending more time at home.In her 20 years at CHOC, a pediatric healthcare system in Orange County, California, Amy Frias has made it her mission to keep kids out of the hospital. She wears a lot of hats, helping families with everything from CPR courses to car seats and helmet safety.“Injuries are the leading cause of death and serious injury for children under 14,” Frias said. "It's all about prevention it's all about setting people up so that kids aren’t seriously injured or hurt.” This holiday season Frias says, we all need all the joy and happiness we can get. She advises caution about seasonal decor, especially if you've got young kids.“Things like keeping breakable ornaments up high on your tree, or maybe not having any breakable ornaments on your tree, and making sure that none of your lights are frayed and everything is in good working condition,” Frias said. She said to make sure you're considering age-appropriate gifts, be wary of toys with button cell batteries, and make sure kids can't access those compartments. She also warns that people need to be mindful of holiday plants, and stockings, which can pose a problem.“Mistletoe or holly berry those are two items that are extremely poisonous," Frias said. “Hang your stockings from your fireplace, but if you use your fireplace, remove the stockings from your fireplace before you use it." Frias added that parents should keep in mind that the glass on your fireplace is one of the hottest areas in your home and a young child with thin skin that touches it could have third-degree burns in seconds.When it comes to some of those bigger gifts, Frias reminds people about falls, which is what doctors tend to see the most of in pediatric trauma centers.“Bikes and scooters are great gifts to give kids," Frias said. "But also include a helmet. They need to have helmets and make sure it fits.” Dr. Nikhil Bhayani, who's an infectious disease specialist for a large health care group in North Texas said if you're planning a trip to see Santa Claus, do it while keeping COVID precautions in mind.“My kids wanted to see Santa Claus and the first thing I said was 'we’ll see what type of protective barrier they have what are they implementing,'" Bhayani said. "It was very interesting that Santa was 6 feet away and he was sitting in the back of the sleigh, but they had a Plexiglass separating the kids from Santa Claus."Right now, he says, his clinic is full of COVID-19 patients.“As a provider, I would encourage you to stay at home as much as possible," Bhayani said. "We are in the middle of another surge, hospitalizations are going up, and cases are going up."The doctor added that the best thing to do is use due diligence, keep everyone safe, and not overwhelm hospital systems."The best thing would be to celebrate at home with family, close family, and limit the number of people who come over to your house.” As for all those holiday experiences Bhayani said he can't urge enough caution.“I know that it's the holiday season and there is holiday fatigue, and people want to get out, but I tell people that if they want to be around to enjoy the holidays next year, let's do the right things now.” Frias added that everyone should enjoy those holiday cookies, but don't eat the dough and as we all hope to celebrate the end of 2020, celebrate with a mask on. 3503

College campuses across the country have largely sat empty for months, but as schools consider whether to bring students back, they're also considering their legal obligations.“They are a business that needs revenue to function,” explained Chris Feudo, an attorney with Foley Hoag in Boston, Massachusetts.As an attorney, Feudo has been advising folks about COVID-19 waivers, which gained national notoriety leading up to President Donald Trump’s rally in Tulsa last month. Businesses have also been turning to these forms in hopes of freeing themselves from legal responsibility if someone catches the virus.The next round of waivers could be coming from colleges and universities, and many have already mandated student-athletes to start signing the forms in order to start practicing. Students returning to empty campuses could be next.“It sends a really dangerous message,” Feudo said. “If you’re saying to your employees, faculty, students, it’s sending a message that the college or university is bringing people back when there’s still a substantial risk.”A COVID-19 waiver could mean a family loses any right to seek compensation if a student gets sick at school.But Feudo is skeptical any of these waivers will hold up in court.“You’re not going to find out whether it’s enforceable until somebody gets sick and sues,” he said. 1344

Counterfeit items are being sold by third-party vendors on the top ecommerce sites, according to the U.S. Government Accountability Office. The GAO released a study Tuesday showing that even top online merchants such as Amazon and Walmart are subject to having counterfeit items posted on their sites. In some cases, the counterfeits can be harmful, the GAO reported.  The GAO purchased 47 items — a mixture of shoes, travel mugs, cosmetics and phone chargers. The items were bought from third-party sellers on Walmart, eBay, Amazon, Sears Marketplace and Newegg. Of the 47 items, 20 were counterfeit, including all 13 of the Urban Decay cosmetics purchased. "From travel mugs to cosmetics, counterfeit goods harm the U.S. economy and can pose a threat to consumers," the GAO reported.  829

Considered the coronavirus holy grail, antibodies are believed to give us some level of immunity from the virus. They form after a person fights off COVID-19 and can be detected through a serological test, better known as an antibody test. "There are some really great companies building antibody tests, and there are some not so great, bad actors, building antibody tests. So you have to be really careful," says Jon Carder, co-founder and CEO of Vessel, a San Diego company created four years ago to provide in-home wellness tests. Early in the pandemic, the U.S. Food and Drug Administration allowed these tests to be sold and distributed without federal review, as long as the company notified the FDA it was offering a test, performed self-validation studies, and included a disclaimer on the test results. The FDA is now cracking down on the bad actors, creating a list of tests that should no longer be distributed. Only a handful of manufacturers have been granted FDA Emergency Use Authorization, meeting a certain threshold for accuracy.Carder says states and even countries have been fooled by the bad actors, purchasing inadequate tests. "We were talking to a city government, a big city, and were blown away when we got a response that they were thinking about buying antibody tests from a certain manufacture who had claimed they were FDA approved. And the state had sort of taken their word for it, and they weren't," said Carder. Vessel had been preparing to release its in-home wellness tracker, which tests for health markers like vitamins, minerals, toxins, and cortisol. When the pandemic hit, the company adapted its technology to be used in the fight against COVID-19. "We take existing antibody tests, the good ones, the ones that are accurate and that the FDA has approved for emergency use, and we enable those to be done safely and accurately at home," said Carder. They've created a kit with step-by-step instructions to do the blood test at home. The test card is then scanned through the Vessel app and provides results from a medical professional within a half-hour. The FDA has already approved in-home tests to diagnose active infections – but Carder says the sample must be sent to a lab, and the user must have symptoms or another qualification to get one. And he says they can be costly. "Ours could be one of the first, or the first, antibody test done at home, no lab needed," said Carder. Just this week, the FDA issued three warning letters to companies making false claims on their in-home antibody tests.Vessel has completed its usability studies and is now in clinical trials with the FDA. "Our job is to prove it can be done safely at home and to show that via clinical trials. The FDA really makes the call if they're going to enable antibody testing at home," said Carder. He says the test would be cost-effective, anywhere from -, or around with medical consultation. If approved by the FDA, Carder estimates millions of people could be tested within the first few months. "There's something really great about the peace-of-mind that comes from doing a test, and that may be one of the biggest benefits," said Carder. But while the FDA is only approving the most accurate tests, none are 100 percent accurate and could still lead to false positives. 3314

Colleges are trying to figure out how students can safely get back to school, as more schools are choosing to go online only for the fall.For colleges that will have students on-campus, a big question is how testing could work. This week, Maryland's state universities are some of the latest to say they will test students if they can't prove they had a negative test within 14 days of arriving on-campusResearchers from Yale, Harvard and Massachusetts General Hospital have a model of what they say needs to happen for campuses to reopen.It includes testing students every two days along with strict social distancing measures“There are still schools out there who think they can get by with symptom-based monitoring,” said David Paltiel of Yale Public Health. “That is waiting until a student develops symptoms before springing into action. We have run simulations and scenarios over and over again. We have yet to find a single one where that is good enough.”Experts believe screening frequency is more important than test accuracy. But they say daily testing could lead to false positives. They think testing every two days will cost 0 per student per semester.“Any school that cannot see how it's going to reasonably implement a program of frequent screening alongside a program of social distancing really has to ask itself if it has any business reopening,” Paltiel said.Vassar College President Elizabeth Bradley looked at how the model would work for them. She wrote in the journal JAMA they would have a controllable number of infections, even if they only tested students every four weeks.They would also use social distancing, masks, and contact tracing. Students would need a negative COVID-19 test before they move in. 1743

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